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by Incisiv Incisiv
Dialpad · Google Cloud · AI Customer Service Survey · 2026

AI in Customer Service
is mid-journey. Most
organizations have not
arrived yet.

A survey of 150 Director and VP+ leaders across Retail and Healthcare examines where AI stands in customer service today: deployment, sophistication, architecture, measurement, and the barriers that separate early movers from the rest.

n=150 respondents  ·  Director and VP+ seniority
75 Retail  +  75 Healthcare  ·  50 / 50 industry split
12 questions across maturity, architecture, measurement & governance
Contact Center, Digital, CX, Technology and Care Operations leaders
Where organizations are on the AI journey
35
23%
Planning
63
42%
Piloting
52
35%
Deployed
Executive Summary

The next phase will be defined less by introducing new AI capabilities and more by operationalizing existing ones

The distribution of organizations across planning, piloting, and deployment stages reveals a market that has largely moved beyond AI experimentation and into operationalization. With 77% of organizations now actively piloting or deploying AI, the conversation is no longer centered on whether AI belongs in customer service, but on what it takes to make AI perform consistently at scale.

This shift is exposing a new set of challenges. Organizations have established AI's customer-facing communication layer, but many have yet to build the underlying systems, governance models, and data foundations required to support autonomous execution. As a result, the gap between AI deployment and AI performance is becoming increasingly apparent.

The next phase of maturity will therefore be defined less by introducing new AI capabilities and more by operationalizing existing ones. Across both Retail and Healthcare, competitive advantage is shifting toward organizations that can effectively connect AI to systems of action, preserve customer context across channels, and establish clear frameworks for human-AI collaboration.

77%
deployed or piloting AI in customer service; the adoption question has largely been settled
25%
have autonomous resolution enabled. Deployment and capability maturity are not the same milestone.
83%
of Planning-stage organizations are blocked by undefined AI decision rules. Governance, not technology, is the gate.
43%
have enough data to state whether AI is paying off, despite 68% having ROI measurement frameworks in place

8 Findings

All Industries · n=150 · Retail and Healthcare combined unless noted

01
The Deployment Illusion
AI is in the building. Autonomous AI is not.

The AI capability stack drops sharply after retrieval and routing. There are two distinct cliffs: −19 points from Sentiment & Intent to Proactive Engagement, then another −17 to Autonomous Resolution. Organizations have built the foundation but haven't climbed the stack.

AI Capability Stack: % with each capability enabled (n=150)
Information Retrieval
80%
Navigation & Routing
75%
Real-Time Agent Support
69%
Sentiment & Intent
62%
Proactive Engagement
43%
Autonomous Resolution
25%
13%
fully preserve cross-channel context when customers switch. Another 53% have partial context; 21% mostly lose it.

The 55-point drop from Information Retrieval (80%) to Autonomous Resolution (25%) represents the gap between AI that knows things and AI that does things. Most organizations are firmly in the former.

02
The Execution Gap
AI understood the request. It could not complete it.

Most conversations about AI failure focus on comprehension: AI that misunderstands intent, misreads context, or escalates unnecessarily. The data points to a different problem. The second most common trigger for AI-to-human handoffs is not confusion. It is capability. 21% of handoffs occur because AI understood the request but lacked the technical ability to complete it.

Execution Readiness: % Agree+ (n=150)
Real-time data at interaction start
62%
AI directly connected to action systems
45%
Full cross-channel history available
33%
21%
of AI-to-human handoffs are triggered by capability, not confusion. AI understood the request but had no path to complete it.
That is not an AI problem. It is an infrastructure problem being managed as a staffing one.

Only 45% of organizations have AI directly connected to the systems it needs to act on customer information. Only 33% have the customer's full cross-channel history available at the point of interaction. The result is an AI layer that can understand what needs to happen but has no path to make it happen. Every time that gap is hit, the interaction transfers to a human, the cost rises, and the resolution that AI was supposed to deliver does not.

The so-what: Organizations measuring AI by containment rate and escalation rate are not seeing this failure. A handoff triggered by technical inability looks identical in the data to a handoff triggered by customer preference or emotional complexity. Until organizations can distinguish why handoffs happen, they cannot fix the ones that should not be happening at all.
03
The Channel Memory Problem
AI can retrieve information. It cannot remember the customer.

Organizations have point-in-time data. They do not have cross-channel memory. And the channel where memory breaks down most visibly is the one customers still reach for when a problem is serious.

AI Sophistication by Format, full distribution (n=150)
Not in Use
Basic
Conversational
Action-Oriented
Autonomous

62% of organizations have real-time customer data at the start of each interaction. Only 30% maintain context across voice and digital. Only 13% preserve it fully when a customer switches channels. Voice AI runs 14 points behind chat and Agent Assist on sophistication, with nearly 3× the "not in use" rate. The result: the channel customers default to for complex or emotionally charged issues is the least equipped to carry their history into the conversation.

This is not a voice problem in isolation. It is a channel architecture problem. AI can retrieve information. It cannot remember the customer. Those are not the same capability, and most organizations have built only the first one.

The so-what: Cross-channel memory appears to be a deployment prerequisite, not a feature added later. Among Deployed organizations, 54% maintain cross-channel context. Among Piloting organizations, 18% do. That 36-point jump does not happen gradually. It happens at the moment of full deployment, which means organizations still in pilot are likely underestimating how much architecture work sits between them and scale.
04
The Rules Wall
Undefined decision rules stop AI from acting, not capability.

The top AI-to-human handoff trigger is scope, not technical failure. 29% cite requests falling outside AI's defined decision rules as the primary trigger. Among Planning-stage organizations, 83% cite undefined rules as a barrier to autonomous AI. At Deployed stage: 25%. That 58-point drop tracks almost exactly with the gap between organizations that have deployed and those that haven't.

Undefined Decision Rules as Barrier, by Deployment Stage
Planning
83%
Piloting
46%
Deployed
25%

Defining what AI can and cannot do is the entry ticket to deployment, not something that emerges from it. Organizations that have done it are deployed. Organizations that haven't are not.

05
The Measurement Paradox
Most organizations measure AI. Fewer than half can prove it's working.

68% say AI metrics are tied to measurable ROI, but only 43% have enough data to state whether AI is paying off. The measurement infrastructure exists; the evidence base does not. And 54% cannot yet distinguish a truly resolved ticket from a deflected one, so the resolution data they are collecting may be overstating AI's actual performance.

Measurement Confidence: % Agree+ (n=150)
AI metrics tied to measurable ROI
68%
Review resolution outcomes consistently
59%
Monitoring alerts if AI stops resolving
53%
Can distinguish resolved vs. deflected
46%
Enough data to state whether AI pays off
43%
25pp
gap between "we have ROI metrics" (68%) and "we can prove it's working" (43%)

Most organizations have built measurement infrastructure. The problem is evidence quality. And the evidence quality problem starts with how resolution is defined. When asked what must be true for an interaction to count as resolved, 39% of organizations include "customer stopped responding for a set period" as a valid criterion. Silence is being counted as success. A further 51% count "case closed without a human agent", regardless of whether the underlying issue was actually addressed.

The metric choices compound the problem. Containment Rate (52%) ranks above Resolution Rate (43%) as the most commonly used AI performance metric. Organizations are measuring whether AI kept the customer away from a human before they are measuring whether AI solved the customer's problem. Avoidance is being tracked more carefully than outcomes.

ROI claims built on these definitions are not measuring AI performance. They are measuring AI activity. The gap between the two is where AI's real value, or lack of it, actually lives. Until organizations tighten what counts as resolved, the measurement infrastructure they have built will continue producing numbers that look good and mean less than they should.

06
The Maturity Divide
AI has conquered volume. It has not touched judgment.

Across both industries, AI follows the same pattern: high-volume, transactional service areas first; sensitive and clinically complex areas last. The pattern is consistent, and it follows the same logic across both industries: structure first, judgment last.

No AI
Deflective
Conversational
Transactional
Agentic
Retail (n=75)
Service AreaDistributionT+A
Healthcare (n=75)
Service AreaDistributionT+A

Order Management leads at 56%, the highest of any service area in the dataset. Clinical Queries and Grievances sit at 17%: both healthcare service areas where an error has direct patient consequences. The gap between them is not accidental.

07
The Human Operating Model
AI needs designed collaborators, not backstops.

61% have designed clear rules for what AI handles and when humans take over. The remaining 39% are operating without that structure. Of those, 11% have reduced human agents to pure overflow with no defined role, no triggers, and no handoff logic.

Role of Human Agents in AI-Assisted Service (n=150)
Intentionally designed: clear AI vs. human rules
61%
Escalations handled without predefined rules
29%
Humans as unstructured overflow only
11%

Scaling AI in customer service requires designing the human role with the same care as the AI role. Treating human agents as backstops rather than designed participants is a governance gap, not an efficiency choice.

08
The Two Industry Walls
Retail is blocked by fragmentation. Healthcare is blocked by regulation.

The largest single divergence in the dataset: regulatory constraints hit Healthcare at 63% vs. Retail at 29%, a 33-point gap. Retail's ceiling is structural, driven by systems and integration gaps. Healthcare's ceiling is set by compliance and governance. The path to scale is different in each industry because the obstacle is different.

Primary Barriers to Autonomous AI, Retail vs. Healthcare (n=75 each)
Retail
Healthcare
The takeaway

The barriers to AI autonomy extend beyond technology itself. Organizations report a mix of operational, governance, and trust-related challenges, indicating that scaling AI requires progress across multiple foundational areas rather than a single capability improvement.

What Separates Leaders from the Rest

AI adoption is no longer the primary challenge. Turning capability into outcomes is.

Across both Retail and Healthcare, organizations are actively deploying and piloting AI capabilities. The greater challenge is turning those capabilities into consistent customer outcomes. The organizations making the most progress are not necessarily investing in more AI. They are addressing the operational, architectural, and governance gaps that stand between AI deployment and AI performance.

01
Define decision rules before expanding autonomy

The top trigger for AI-to-human handoffs is not capability failure but requests falling outside AI's defined authority. Organizations should establish clear decision boundaries, escalation triggers, and approval thresholds before increasing AI autonomy.

02
Connect AI to the systems required for resolution

AI cannot resolve issues it cannot act on. Connecting customer service AI to operational systems — CRM, order management, payments, scheduling, workflow platforms — is essential to closing the gap between understanding a request and completing it.

03
Measure outcomes, not activity

Many organizations continue to prioritize containment, deflection, and handle-time metrics. Leaders should focus on measures that reflect customer outcomes — resolution rate, customer effort, and business impact.

04
Design the human role intentionally

Human involvement should not be treated as a fallback. Organizations need clear rules for when employees intervene, what decisions require human judgment, and how AI and people work together throughout the customer journey.

The next phase of customer service AI will be shaped less by advances in the technology itself and more by how effectively organizations operationalize it. Clear decision authority, connected systems, meaningful measurement, and well-defined human involvement are increasingly becoming the factors that separate successful deployments from stalled initiatives.

Retail & Healthcare: Two Industries, Two Problems

The path to effective customer service AI is not the same for every industry.

AI in customer service is entering a new phase of specialization. Early adoption was defined by broad experimentation, with organizations across industries deploying similar technologies and following comparable playbooks. That approach is becoming insufficient. The differentiator is shifting away from the technology itself and toward the environment in which it operates, with industry-specific realities increasingly determining how organizations scale and where they encounter friction.

Organizations are no longer competing on their ability to deploy AI, but on their ability to adapt it to the realities of their business. There is no singular path to AI maturity, and generic, one-size-fits-all approaches are approaching their ceiling. Competitive advantage now belongs to organizations that focus on deep backend integration, outcome-based measurement, and deliberate human-in-the-loop governance.

This survey examines two industries, Retail and Healthcare, each with distinct customer service operating realities, distinct constraints, priorities, and risk profiles that shape how AI is deployed and scaled. The industry findings unpack the factors that accelerate or constrain AI adoption and highlight the capabilities organizations need to build to succeed within each environment.

Retail · n=75
The Integration Race
Primary investment driver: handle higher volumes without adding headcount (64%) and reduce wait times (60%). Competitive pressure is explicit: 29% cite keeping pace with competitors, a motivation that does not appear in Healthcare.
59%
cite Fragmented Systems / Data Silos
as their top barrier, highest-ranked for Retail
AI deployments are among the most mature in the dataset: Order Management has reached 56% Transactional or Agentic. Fragmented systems and integration gaps prevent AI from accessing the data it needs to act across the full service footprint.
Healthcare · n=75
The Regulated Frontier
Primary investment driver: reduce administrative burden on staff (65%). Healthcare AI investment is staff-driven, not competitive. The motivation is relief from administrative load, not market position.
63%
cite Regulatory / Compliance Constraints
as their top barrier, highest of any factor in the dataset and 33 points above Retail
Clinical and complaint areas are kept below the autonomous threshold by design, given patient safety stakes.

Dialpad + Google Cloud AI Customer Service Survey, 2026. n=150 respondents: 75 Retail, 75 Healthcare. All respondents are Director or VP+ with direct oversight of AI in customer service operations.

Multi-select questions may sum beyond 100%. Stage sub-cuts within individual industries are directional (Retail Deployed n≈28; Healthcare Planning n≈19). Figures may not sum to 100% due to rounding.

© 2026 Incisiv. All rights reserved.

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Retail Playbook · Dialpad + Google Cloud · 2026

Closing the Resolution Gap in Customer Service

Building the Foundation That Enables AI to Resolve, Not Just Respond

For retailers, customer service has become far more than a support function. In an environment defined by rising customer acquisition costs, increasing competitive pressure, and fragile brand loyalty, every customer interaction directly impacts retention, repeat purchase, and long-term revenue. A delayed delivery, an unresolved return, a loyalty issue, or a billing dispute is no longer simply a service event. It is a moment that can strengthen customer trust or accelerate revenue leakage.

Retailers are increasingly turning to AI to address these pressures. Nearly 8 in 10 have either deployed or are actively piloting new capabilities. The investment rationale is operational: 64% are investing to manage rising interaction volumes without increasing headcount, 60% to reduce response and wait times, and 52% to improve first-contact resolution.

These investments are delivering measurable efficiency gains, but efficiency is only part of the equation. True customer resolution is a distinct outcome altogether. The research suggests that while most retailers have built AI that can engage customers and retrieve information, far fewer have built the continuity required to carry those interactions from issue to outcome. Nearly 1 in 4 AI-to-human handoffs happen not because the problem was too complex, but because AI understood the request and could not complete it.

The gap is not at understanding. It is at execution, continuity, and accountability.
Three Imperatives · One Objective · Resolution

Resolution is rarely a single-system exercise. It demands continuity across three layers.

Traditional service metrics like response times and closure rates fail to measure actual problem resolution. 41% of retailers count a customer simply stopping communication as a successful outcome. As AI integrates deeper into customer service, the standard for success is shifting away from speed alone. Customers ultimately judge service by whether they achieved their desired outcome with minimal effort and friction, requiring organizations to move from tracking passive activity to verifying true resolution.

For retailers, delivering that outcome is rarely a single-system exercise. Resolving a delayed shipment, processing a return, correcting a billing issue, or restoring loyalty points often requires information and actions to move across multiple channels, applications, and teams. This is where many customer service experiences break down. AI may be able to answer a question or retrieve information, but resolution depends on maintaining context and coordinating execution across the broader retail ecosystem.

Organizations that consistently achieve resolution have built the operational foundations to support it. They combine Shared Knowledge that preserves customer context, Connected Execution that enables action across systems and workflows, and Trusted Governance that ensures decisions remain accountable and aligned with business rules. Together, these capabilities transform AI from a tool that responds to customer inquiries into one that helps drive meaningful customer outcomes.

01
Shared Knowledge
Continuity of context
Does your service model recognize the customer, or just the interaction?
Customer context should survive every channel switch, every handoff, and every system transition. When it does, resolution starts where the last interaction ended, not from scratch.
02
Connected Execution
Continuity in action
How many systems stand between understanding the problem and solving it?
Understanding the problem is not the same as solving it. Connected Execution closes the gap between insight and action across every system the resolution requires.
03
Trusted Governance
Continuity in decision-making
Does your service model know the difference between a $7 fee waiver and a $1,200 fraud claim?
Governance is the operating logic that defines what AI is authorized to decide, where humans must take over, and how every outcome is measured against what the customer actually needed, not just what the system recorded.
Imperative 01 · Shared Knowledge
The Thread Breaks When the Channel Changes
Context built in one channel rarely travels to the next.

Today's retail ecosystem is fundamentally distributed. Customer journeys move fluidly across social discovery, in-app research, physical storefronts, and digital touchpoints before a single service interaction even begins. Each of those touchpoints generates intent, context, and history that is critical to resolving what comes next.

But within customer service specifically, the most acute version of this problem is the channel handoff. When a customer moves from chat to voice, from a digital interaction to a human agent, or from one service touchpoint to the next, the context built in the previous interaction rarely travels with them. The data does not disappear. It simply never connects. Closing that gap requires something most retail organizations have not yet built: a live customer record that moves with the interaction, not with the system that last touched it. One that every channel draws from in real time, that every agent receives the moment a transfer happens, and that never asks the customer to fill in what the previous touchpoint already knew. Without it, every transition is a reset. Every reset is a failure. And in retail, where service interactions are already emotionally charged, failure at the handoff is where customers stop trying.

01
Continuity starts at origin but must survive the entire journey.

As retailers accelerate their investments in artificial intelligence, many are confronting a structural challenge: organizations are highly proficient at capturing customer data at the initial point of contact, but they lack the integrated infrastructure to maintain that data throughout the entire customer journey. Because siloed backend systems struggle to share information in real time, valuable context is often lost the moment a shopper transitions between channels.

Customer Context Across the Interaction · % Retail Agree+
Real-time customer data at start of interaction
64%
Full cross-channel customer history available
36%
Context fully preserved when switching channels
15%
02
Voice is the channel where context breaks most visibly.

Voice is the channel customers turn to when digital self-service fails or a problem becomes urgent. Yet it is historically built on an entirely separate infrastructure track from digital channels. Because these systems lack a shared memory layer, the voice channel routinely inherits zero history. The customer is forced to manually re-explain a journey they have already taken, turning a high-stakes customer interaction into a repetitive and frustrating experience.

Voice-to-Digital Context Status · Retail (n=75)
Can maintain context across voice and digital in real time
31%
Mostly lose context entirely when customer moves to voice
20%
No AI operating across both voice and digital at all
12%
03
Partial context is not a foundation for resolution.

In customer service, a partial history does not produce partial resolution. It produces an incorrect one. When AI or a live agent operates with gaps in a customer's record, assumptions fill the space that data should occupy. Those assumptions introduce errors precisely when accuracy matters most: a billing dispute, a missed delivery, a return gone wrong. And when organizations measure resolution by whether a customer called back rather than whether their issue was actually resolved, they are not tracking satisfaction. They are tracking silence.

53%
retain some context but acknowledge gaps exist
37%
use an LLM audit to confirm customer intent was actually met
60%
use a no-new-ticket-within-48-hours standard to confirm resolution
What leaders are doing differently:

The retailers closing the context gap are not building more data repositories. They are building infrastructure that makes customer history available at the moment it is needed, without requiring anyone to go looking for it.

Context that travels. Customer history, intent, and interaction data are owned by the journey, not the application that captured them. When an agent receives a transfer, the full record of every prior touchpoint arrives with it automatically. The conversation continues. It does not restart.
Intelligence that updates continuously. Context is captured as the interaction happens, not reconstructed after it ends. Real-time summaries, intent signals, and interaction histories ensure every subsequent touchpoint, whether AI or human, starts from a complete record rather than a partial one. The customer does not repeat themselves. The agent does not begin from zero.
Handoffs that preserve continuity. Transitions between AI and human support should extend the customer journey, not restart it. When a customer is directed to an agent, the decision reflects what that customer has already experienced and what their interaction still requires. What was attempted, what was said, what still needs to happen arrives with the transfer. The handoff is a designed moment, not a gap in the journey.
Imperative 02 · Connected Execution
Understanding the Request Is Not the Same as Resolving It
AI comprehends the problem completely and cannot solve it at all.

AI in retail customer service has made significant progress on the first half of customer service: understanding what the customer wants. It can interpret a return request, identify the order, confirm eligibility, and determine the correct resolution path. But understanding is only half the job. The second half is execution. And execution requires AI to reach into live systems, trigger workflows, and complete actions across a technology stack that was never designed for that level of real-time coordination. For most retail organizations, that is where the thread breaks. Not because AI lacks intelligence. Because the systems it needs to act on are not connected.

01
AI understands the request. The systems block the action.

Retail technology stacks are among the most fragmented in any industry. An OMS built in 2015. A loyalty platform acquired in 2019. A payment processor on a third-party API. An in-store POS that has never connected to the digital channel. AI sits on top of this stack and is asked to act across it in real time. Most stacks were not built for that. The result is an AI that comprehends the problem completely and cannot solve it at all. Understanding without execution is not a capability. It is a more sophisticated deflection.

Top Execution Barriers · % Retail Citing
Fragmented systems and data silos
59%
Technical integration gaps
52%
AI directly connected to the systems it needs to act on
48%
02
Nearly 1 in 4 handoffs is an integration failure, not an AI failure.

When AI in customer service transfers an interaction to a live agent, organizations traditionally assume the issue was simply too complex for automation. The data reveals a far more costly reality: the vast majority of human transfers are infrastructure failures, not intelligence failures. Only a fraction of customers actually ask for a human, and even fewer transfers happen because an issue is genuinely too complex. Instead, the primary trigger for human escalation is that the AI hits a technical wall. The system completely understands what the customer wants, but it is forced to abandon the interaction simply because it lacks the backend clearance to click the final button. Retailers are systematically burning expensive contact-center budgets not to solve complex customer problems, but to have humans act as manual data-bridges for tasks the AI has already figured out.

23%
of handoffs occur because AI understood but lacked the technical ability to complete
17%
of transfers happen when AI confidence fell below threshold to continue without human support
19%
of transfers happen because the customer explicitly requested a human agent
03
The more consequential the action, the less connected the system.

Currently AI in customer service can complete information lookups but struggles to complete the actions that actually resolve the issue. The autonomous action data reveals a sharp drop as the stakes increase. Real-time information retrieval is the most commonly enabled capability. Payment and billing workflow completion is among the least. The interactions customers care most about resolving are the ones AI is least equipped to finish.

Autonomous Action Capability · Retail
Real-time information lookup
59%
23-point drop from low-stakes lookup to high-stakes execution ↓
Payment or billing workflow autonomously
36%
What leaders are doing differently:
Connect AI to the systems it needs to act on, not just the systems it needs to inform. Workflow orchestration must reach OMS, CRM, payment systems, and loyalty platforms in real time. Understanding the resolution path and completing it are two different capabilities. Organizations need both.
Close the autonomous action gap at the workflow level, starting with the highest-value interactions. Payment and billing workflows are where customers feel execution failures most acutely. Prioritizing integration depth at those touchpoints delivers the highest return on the execution investment.
Imperative 03 · Trusted Governance
AI Cannot Act Where Its Authority Is Undefined
In retail, the governance ceiling is largely self-imposed.

AI in retail customer service faces a governance challenge that few other industries experience in quite the same way. Organizations have deployed AI into service workflows without building the decision frameworks that tell it what it is permitted to do at each step, and without building the measurement infrastructure to know whether those decisions are producing the right outcomes. The result is an AI that reaches the edge of its defined authority and stops, and an organization that often cannot tell whether that stop was the right call. No one planned either gap. They just happened. And they happen most often in the interactions where customers need AI to go furthest: complaints, billing disputes, escalations, and any moment where the stakes of getting it wrong are a relationship, not just a ticket.

01
AI stops not because it cannot act, but because no one told it what it is allowed to do.

The most common trigger for AI-to-human transfer in retail is not a technical failure. It is not a capability gap. It is a governance gap. AI reached a situation it was never authorized to handle and defaulted to a human, not by design but by absence of design. That absence is not a neutral position. It is a decision, made implicitly, to leave the most consequential service interactions without a framework.

Governance Signals · Retail
Cite undefined decision rules as primary barrier to autonomous AI
47%
AI-to-human transfers triggered by requests outside defined rules
27%
Have no clear visibility into what triggers escalations at all
4%
02
What AI cannot measure, it cannot govern.

Organizations have deployed AI across service workflows without building the measurement infrastructure to know whether governance is working. Where authority is undefined, outcomes go untracked. And where outcomes go untracked, the governance gap compounds silently.

48%
can distinguish a resolved interaction from one where the customer gave up
45%
have enough data to state whether AI is paying off at all
41%
count "customer stopped responding" as confirmation the issue was resolved
Primary AI Performance Metrics in Use · Retail
Containment rate
56%
Resolution rate
44%
Cost per interaction
43%
03
Undesigned human roles are not a safety net. They are a liability.

When AI reaches its limit without a designed handoff, the human who takes over is not equipped to continue the journey. They receive a transfer without context, without a summary of what was attempted, and without logic for what should happen next. The interaction does not continue. It restarts. For organizations that have reduced human agents to pure overflow with no defined role at all, there is no structure for what happens when AI fails. The customer lands somewhere undefined, with someone unprepared, carrying a history the system lost several touchpoints ago.

Role of Human Agents in Retail · n=75
64%
Intentionally designed
27%
No predefined rules
9%
Pure overflow
Clear AI vs. human rules Escalations handled ad-hoc No defined role for humans
11%
of retail transfers are proactively escalated when AI detects frustration
What leaders are doing differently:
Design the human role with the same rigor as the AI role. Escalation logic needs context and reasoning attached, not just a transfer mechanism. When AI hands off, the human receiving it should know what was attempted, why the transfer happened, and what the customer needs next.
Ground resolution definitions in confirmed outcomes, not behavioral proxies. A customer stopping responding is not a resolution. A case closing is not a resolution. Governance frameworks need to require proof of intent met, not just interaction closed.
The Path Forward

Eliminating the gaps between rules, data, and real customer outcomes.

Retail organizations have not failed to invest in AI. They have invested in too many places at once. The average enterprise runs more than five disparate communication and collaboration platforms. Each solves a piece of the problem. None were built to work with the others. The result is a fractured ecosystem where context breaks at the handoff, execution stops at the integration wall, and governance has no shared foundation to sit on.

Retailers that continue addressing each gap independently will continue generating the same costs. Point solutions built the problem. Only the right foundation closes it.

Scalability that holds under pressure
Peak retail seasons do not wait for system upgrades. The platform has to handle demand spikes across every channel without degrading context, dropping calls, or forcing manual intervention. Cloud-native infrastructure built for elasticity is no longer optional. It is the baseline.
Integration as a starting condition
The reason AI stalls before resolution is that the systems it needs to act on were never connected to it. A platform that integrates natively with OMS, CRM, payment systems, and loyalty platforms, without months of custom development, closes the execution gap from day one.
AI present across every interaction, not selected ones
AI is integrated into the flow of work, enabling decisions and actions throughout the customer journey instead of serving as a standalone engagement layer.
A foundation that adapts and grows with the organization
Most retailers in this research are mid-journey. The infrastructure built today needs to support current maturity and expand as AI capability develops, without requiring a full rebuild at every stage.

The retailers that win in customer service are the ones that build on a single foundation where context never breaks, execution is instant, and trusted governance is locked directly into the code.

Retail cut, Dialpad + Google Cloud AI Customer Service Survey, 2026. n=75 Retail respondents. Director or VP+ with direct oversight of AI in customer service operations.

Stage sub-cuts within Retail are directional (Deployed n≈28, Planning n≈16). Figures may not sum to 100% due to rounding. © 2026 Incisiv. All rights reserved.

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Healthcare Playbook · Dialpad + Google Cloud · 2026

Scaling AI in Healthcare Requires More Than Automation

Balancing automation, augmentation, and governance to deliver trusted patient support

For years, customer service has prioritized cost reduction and scalability through aggressive automation. Healthcare is now following a similar path to combat administrative overload, workforce shortages, and rising patient expectations. However, patient interactions are fundamentally different. They are emotionally charged, clinically significant, and deeply personal.

Consequently, the traditional automation playbook does not translate directly to healthcare. While AI excels at processing information, patients still require human empathy, judgment, and trust. Our research highlights this boundary clearly: while 79% of healthcare organizations use AI for information retrieval, only 23% permit autonomous resolution.

The path forward is not about replacing human involvement. It is about responsibly allocating roles between humans and machines. Leading organizations are achieving this through a balanced, three-part framework:

Automate: Offload high-volume, low-complexity administrative tasks.
Augment: Equip staff with the real-time context and insights needed to deliver better care.
Govern: Establish clear policies and guardrails to ensure patient safety, compliance, and accountability.

By treating Automate, Augment, and Govern as a unified system, healthcare organizations can scale AI responsibly while maintaining the trust that sits at the center of every patient interaction.
The Operating Model for AI-Powered Patient Support

Successful AI adoption in healthcare is not defined by a single technology or maturity level, but by how it is layered across the service experience.

Our research suggests that successful AI adoption in healthcare patient support is not defined by a single technology or capability. Instead, leading organizations are taking a deliberate approach, applying AI across different layers of the service experience based on the level of autonomy, human involvement, and oversight each interaction requires.

The organizations leading this transition are not simply deploying more AI. They are deploying it with purpose: automating what AI should own, augmenting what people should lead, and governing everything in between.

01 · AUTOMATE
Orchestrate information across systems

The administrative layer of healthcare patient support generates enormous volume with limited clinical complexity. Scheduling, billing, eligibility verification, record updates, care coordination handoffs.

These interactions follow predictable patterns and draw on structured data.

Automation handles them at scale, without manual intervention, freeing clinical and support staff for the interactions that actually require their judgment.

02 · AUGMENT
Orchestrate experiences across channels

Augmentation uses AI to enhance human expertise during more complex patient interactions.

Rather than replacing employees, AI acts as a real-time assistant, surfacing context, recommendations, and next-best actions that help staff deliver faster and more informed service.

As patients move between voice, chat, messaging, portals, and other touchpoints, AI helps preserve context across channels, reducing repetition and enabling more personalized, connected experiences.

03 · GOVERN
Orchestrate trust across every decision

Automation and augmentation expand what AI can do. Governance determines what AI is permitted to do.

In healthcare, that distinction is not procedural. It is the difference between AI that operates within a defined and auditable boundary and AI that acts without one.

Governance establishes where autonomous action is appropriate, where human review is required, and how every outcome is measured against something more meaningful than whether the interaction closed.

Imperative 01 · Automate
Information Exists. Continuity Doesn't.
Before AI can resolve, it must first move the context itself.

Healthcare organizations are not short on expertise. They are overwhelmed by process. Scheduling appointments, verifying eligibility, updating records, coordinating referrals, and managing follow-up activities create enormous operational burden across patient support functions. AI creates the greatest value when it removes this repetitive work from already constrained teams.

01
Most organizations can access patient information. Few can preserve it.

Most healthcare organizations begin interactions with access to patient information. The challenge emerges as patients move across channels, departments, and workflows. Every transition creates an opportunity for context to be lost, forcing information that already exists to be reconstructed, repeated, or rediscovered.

AI Maturity by Service Area · Trans + Agentic (n=75)
Appointment & Scheduling
49%
Clinical & Medication Queries
17%
Patient Context Across the Interaction · % Agree+ (n=75)
Real-time patient data at start of interaction
60%
Fully preserve context when patients switch channels
11%

The gap between these two figures reveals healthcare's first automation challenge. Information is available, but continuity is not. Every handoff creates the risk that context already collected must be reconstructed, repeated, or rediscovered.

02
Fragmentation is limiting automation's impact.

The loss of context is rarely a data problem. It is an architecture problem. Patient support journeys span communication platforms, electronic health records, scheduling tools, billing systems, and care coordination workflows that often operate independently of one another. When these systems are disconnected, AI can retrieve information but cannot reliably carry it forward or act on it.

Top Automation Barriers · % Healthcare Citing
Fragmented systems and data silos
51%
Technical integration gaps
47%

Until underlying systems are connected, healthcare organizations will continue asking patients and employees to bridge those gaps manually.

03
The biggest automation opportunity is not conversation handling. It is context movement.

Most healthcare AI deployments today focus on helping patients access information.

Information Access Capabilities · % Enabled (n=75)
Information retrieval enabled
79%
Navigation & routing enabled
73%
Autonomous Action Maturity · % Enabled (n=75)
Can complete low-risk service changes autonomously
60%
Can handle regulated or high-risk workflows
27%
Information-only (no autonomous action)
13%
43%
have AI directly connected to the systems required to act on patient information

This reveals a significant maturity gap. Healthcare has largely automated information discovery. It has not yet automated information flow. Until patient context can move seamlessly across systems, channels, and workflows, healthcare organizations will continue asking patients and employees to bridge those gaps manually.

What leaders are doing differently:
Connect AI directly to backend systems so information retrieval triggers action: scheduling, eligibility verification, record updates, and care coordination without manual handoffs between tools.
Automate end-to-end workflows across every administrative touchpoint so AI completes tasks, not just conversations.
Unify voice, chat, and messaging on a single communications layer so patient context moves seamlessly across every channel transition.
Imperative 02 · Augment
Information Alone Does Not Improve Patient Experiences. People Do.
AI's greatest value is strengthening the people responsible for patient outcomes.

Healthcare's greatest constraint is rarely expertise. It is capacity. Clinicians, care coordinators, schedulers, contact center agents, and support teams often know exactly what needs to happen next. The challenge is managing growing volumes of interactions, administrative responsibilities, and patient needs while maintaining quality, empathy, and responsiveness. Unlike other industries, healthcare organizations are not rushing toward fully autonomous service models. Instead, they are using AI to strengthen the people responsible for patient outcomes. The goal is not to replace human judgment. It is to reduce the administrative burden surrounding it.

01
Healthcare is investing in AI to support employees, not replace them.

The research reveals a clear preference for augmentation over autonomy. Organizations are comfortable using AI to assist employees, but far more cautious about allowing AI to act independently on behalf of patients.

Augmentation vs. Autonomous Capability · Healthcare
Real-time employee support enabled
68%
45-point gap between augmenting employees and acting autonomously ↓
Autonomous resolution enabled
23%

Healthcare leaders are not pursuing AI for its own sake. They are applying it where it can improve workforce effectiveness while preserving human accountability.

02
Administrative burden remains the primary target for AI investment.

Many healthcare interactions generate significant work beyond the conversation itself. Scheduling appointments, coordinating referrals, updating records, verifying eligibility, documenting interactions, and managing follow-up activities all place demands on already constrained teams.

Top Reasons Healthcare Invested in AI · Sorted by Priority
Reduce administrative burden on staff
65%
Reduce response / wait times
56%
Improve patient experience and access
52%
Increase first-contact resolution
47%
Reduce operating cost
40%

The opportunity is not simply efficiency. It is allowing healthcare workers to spend less time managing processes and more time supporting patients.

03
The future of healthcare AI is collaborative, not autonomous.

The most mature organizations are designing AI to work alongside employees rather than around them.

57%
have established intentional AI-to-human handoff rules
31%
handle escalations without predefined rules
12%
have human agents as unstructured overflow only

This reflects an important reality. Many patient interactions require judgment, empathy, and contextual understanding that cannot be reduced to a workflow. Rather than eliminating human involvement, organizations are defining how AI and people work together to deliver better outcomes.

What leaders are doing differently:
Embed real-time AI support directly into employee workflows so staff have context, recommendations, and next-best actions at the moment of every patient interaction.
Automate post-interaction documentation, follow-up tasks, and administrative handoffs so care teams spend time on judgment, not process.
Consolidate communication, patient context, and AI assistance into a single intelligent workspace that reduces context switching and keeps every interaction connected.
Imperative 03 · Govern
AI Cannot Act Where Its Authority Is Undefined
The challenge is no longer determining what AI can do. It is determining what AI should do.

Healthcare organizations are making rapid progress in deploying AI across patient support, scheduling, and care coordination. The technology is becoming increasingly capable of retrieving information, supporting employees, and automating routine tasks. Yet capability alone does not create trust. As AI takes on greater responsibility, organizations must determine where AI is permitted to act, where human intervention is required, and how decisions are monitored over time. In healthcare, these boundaries are particularly important. Every interaction carries operational, regulatory, and patient experience implications that require clear accountability.

01
Governance concerns are limiting AI's ability to scale.

Healthcare organizations recognize AI's potential, but many remain cautious about expanding its role in patient-facing interactions.

Top Barriers to More Autonomous AI · Healthcare
Compliance and regulatory concerns
63%
Concerns regarding AI accuracy
53%

The issue is not simply technology maturity. Organizations must be confident that AI can operate safely, consistently, and within acceptable risk boundaries before they allow it to take on greater responsibility.

02
Many organizations have not fully defined AI decision authority.

Successful AI adoption requires more than technical capability. It requires clear rules that define when AI can act independently and when decisions should be escalated to a human.

Governance Definition Signals · Healthcare
Cite undefined AI decision rules as a barrier to greater autonomy
48%
Out-of-rules requests are among the most common handoff triggers
32%

In many cases, AI does not fail because it lacks the ability to continue. It stops because the organization has not determined whether it should.

03
Trust depends on measuring outcomes, not activity.

Governance requires visibility into what AI is actually accomplishing. Organizations that cannot distinguish between successful outcomes and incomplete interactions struggle to evaluate performance, identify risk, and improve decision-making. As AI becomes more embedded in healthcare operations, measuring outcomes will become just as important as measuring efficiency.

37%
include "customer stopped responding for a set period" as a valid resolution criterion. Silence is being counted as success.
44%
can distinguish a resolved interaction from one where the patient simply gave up
40%
have enough data to state whether AI is paying off at all
65%
say AI performance metrics are tied to measurable ROI.

Trust is built not by assuming AI is working, but by continuously validating that it is.

What leaders are doing differently:
Define clear AI decision boundaries across every interaction type so autonomous actions, escalation rules, and human intervention points are established before deployment, not after.
Build compliance into the platform architecture from day one with enterprise-grade standards that meet HIPAA, regulatory, and patient safety requirements across every channel.
Implement consistent outcome measurement that distinguishes resolved interactions from incomplete ones so performance data reflects real patient impact, not just interaction volume.
Build continuous monitoring and oversight into the AI lifecycle so trust scales alongside capability and every decision remains transparent and accountable.
The Path Forward

What Comes After Deployment

In healthcare, the stakes of customer service leave little room for error. The challenge is no longer deploying AI, but determining how it should participate in customer interactions, when it should act independently, when it should support a human agent, and when human intervention is required. While the Automate, Augment, and Govern framework provides a strategic approach for making these decisions, executing it consistently at scale depends on the underlying infrastructure. For the framework to operate as a unified system that balances efficiency, safety, and accountability, organizations must establish three operational foundations.

Contextual Integrity
Every allocation decision requires a clear, comprehensive view of the patient and their interaction history. When context becomes fragmented across disparate systems, channels, and workflows, the decision to automate, augment, or escalate is compromised by incomplete data. The underlying infrastructure must preserve both the record of prior interactions and their clinical and operational meaning. This ensures universal semantic coherence, where every system interprets the patient's context identically as it moves through the enterprise.
Invisible Augmentation
The highest-value AI deployments in healthcare remain completely invisible to the patient. True augmentation manifests as context delivered to an agent before a patient has to repeat themselves, documentation captured seamlessly without distracting a clinician, and next-best actions surfaced proactively.
Adaptive Governance
AI systems evolve, interaction patterns shift, and edge cases accumulate. Consequently, decision boundaries defined at launch rarely match the operational realities the system encounters over time. Healthcare organizations require continuous, real-time visibility into whether AI is operating within its intended parameters. This enables leadership to proactively adjust guardrails before any drift between corporate policy and clinical practice impacts a patient.

Safe, scalable AI is built on infrastructure, not applications alone. Organizations that establish these foundational capabilities will be able to expand AI adoption while maintaining trust, compliance, and operational control.

Healthcare cut, Dialpad + Google Cloud AI Customer Service Survey, 2026. n=75 Healthcare respondents. Director or VP+ with direct oversight of AI in customer service or patient-facing operations.

Stage sub-cuts within Healthcare are directional (Deployed n≈24, Planning n≈19). Figures may not sum to 100% due to rounding. © 2026 Incisiv. All rights reserved.

Industries
All Industries (n=150) Retail (n=75) Healthcare (n=75)
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Every question in the survey, charted. Pick a question from the left; where a question supports it, switch the cut to compare overall, retail, and healthcare responses. Base: n=150 unless noted; industry cuts are n=75 each.

13 Questions n=150 Total Retail n=75 · Healthcare n=75 Director / VP+

Dialpad + Google Cloud AI Customer Service Survey, 2026. n=150 respondents: 75 Retail, 75 Healthcare. All respondents are Director or VP+ with direct oversight of AI in customer service operations.

Multi-select questions may sum beyond 100%. Figures may not sum to 100% due to rounding.

© 2026 Incisiv. All rights reserved.